ENERGY EFFICIENCY PROGRAM FOR BUSINESS 2016 Program Application This Application is to be used for projects completed with a Final Application submitted during the 2016 Program Year (Jan. 1, 2016 – Nov. 30, 2016). Section 1 – Application Incentive Application Checklist....................................... 2 Customer Information....................................................... 3 Contractor Information..................................................... 4 Third Party Payment Authorization............................... 4 Final Application Agreement........................................... 5 Incentive Summary, Final Agreement Information and Account Holder Signature Page.............................. 6 Section 2 – Incentive Worksheets* Lighting Incentive Worksheet.......................................... 7 HVAC Electric Incentive Worksheet...............................10 Miscellaneous Electric Incentive Worksheet................ 17 Process Electric Incentive Worksheet...........................18 Food Service – Electric and Refrigeration Incentive Worksheet........................................................20 HVAC Gas Incentive Worksheet.....................................22 Hot Water and Laundry Incentive Worksheet.............23 Insulation Incentive Worksheet.....................................24 Process Gas Incentive Worksheet.................................24 Boiler/Furnace Tune-up Incentive Worksheet.............25 Food Service – Gas Incentive Worksheet.....................26 Custom Measures Worksheet Instructions..................27 Prescriptive or Custom Project?...................................28 Custom Incentive Worksheet ........................................29 Boiler/Furnace Tune-up Addendum..............................32 How to Submit Your Application...................................36 * Some Prescriptive incentives and all Custom incentives require a Reservation Application prior to beginning your project. A02 For New Construction and Major Renovation projects, download our NC/MR Application at dteenergy.com/savenow If you have questions about other projects and the appropriate Application to submit, contact us at 866-796-0512 (press option 3) or email us at saveenergy@dteenergy.com V1:11/01/15 Checklist Prescriptive and Custom Incentive Application Checklist This form MUST be included with any Reservation and/or Final Application. If this is a New Construction or Major Renovation project, please use that Application, which can be found online at: dteenergy.com/savenow. Submittal Date Is this a revised Application? Application Number (if known) yes no DTE Energy Efficiency Program For Business Email: saveenergy@dteenergy.com Fax: 313.664.1950 Phone: 866.796.0512 Web: dteenergy.com/savenow Mail: P .O. Box 11289 Detroit MI 48211 Electronically submit, mail, fax or email completed forms and required documentation with itemized invoices to: Reservation Application Final Application Fill out this side when reserving incentives Fill out this side when project is completed Required Attachment Required Attachments Customer Information . . . . . . . . . . . . . . . . . . . . . . . . . 3 Customer Information . . . . . . . . . . . . . . . . . . . . . . . . . 3 Contractor Information . . . . . . . . . . . . . . . . . . . . . . . . 4 Contractor Information . . . . . . . . . . . . . . . . . . . . . . . . 4 W9 Tax Information Form (customer). . . . . . . . . . . . 3 W9 Tax Information Form (if different than customer). 4 Michigan-Made Affidavit(s)* 3rd Party Payment Authorization*. . . . . . . . . . . . . . . 4 NOTE: Some Prescriptive incentives and all Custom incentives require a Reservation Application prior to beginning your project. Signed Final Application Agreement. . . . . . . . . . . . . 5 Manufacturers’ Specifications Itemized Invoices Michigan-Made Affidavit(s)* Incentives Worksheets Incentives Worksheets Lighting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Lighting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 HVAC – Electric. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 HVAC – Electric. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Miscellaneous Electric. . . . . . . . . . . . . . . . . . . . . . . . 17 Miscellaneous Electric. . . . . . . . . . . . . . . . . . . . . . . . 17 Process Electric. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Process Electric. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Food Service – Electric. . . . . . . . . . . . . . . . . . . . . . . . 20 Food Service – Electric. . . . . . . . . . . . . . . . . . . . . . . . 20 HVAC – Gas. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 HVAC – Gas. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 Hot Water & Laundry. . . . . . . . . . . . . . . . . . . . . . . . . 23 Hot Water & Laundry. . . . . . . . . . . . . . . . . . . . . . . . . 23 Insulation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 Insulation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 Process Gas. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 Process Gas. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 Boiler/Furnace Tune-up . . . . . . . . . . . . . . . . . . . . . . 25 Boiler/Furnace Tune-up . . . . . . . . . . . . . . . . . . . . . . 25 Food Service – Gas. . . . . . . . . . . . . . . . . . . . . . . . . . . 26 Food Service – Gas. . . . . . . . . . . . . . . . . . . . . . . . . . . 26 Custom. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 Custom. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 Boiler/Furnace Tune-up Addendum. . . . . . . . . . . . 32 Boiler/Furnace Tune-up Addendum. . . . . . . . . . . . 32 * If applicable. Reservation Application Date Final Application Date Expected Completion Date** Actual Completion Date*** ** Project funds will only be reserved to the date specified on the Reservation Letter or Nov. 30, 2016, whichever comes first. ***Application must be submitted within 60 days of completion date or by Nov. 30, 2016, whichever comes first. This interactive Application will automatically calculate all incentive totals on each worksheet – which you can then submit electronically to our office. You also can download this Application, print it out and complete it manually. You then can either mail or fax it to our office. You must complete all applicable pages before sending or submitting this Application to our office. Go To Page 36 For Submission Instructions dteenergy.com/savenow 2 V1:11/01/15 Important: Please read the terms and conditions on the Final Application Agreement before signing and submitting this Application. You must complete ALL information requested below and provide the required additional documentation to avoid delays in reservation or payment processing. Customer Who should we call with questions on the Application? Mailing How did you learn about this Incentive Program? Bill Insert Trade Ally/Contractor Contractor Meeting Email Print/TV Advertising Customer Information Primary Building Type (please select one) Website Other_____________ Account Manager_ Michigan Saves Primary Industry (if not defined by building type) Assembly Fast Food Restaurant Light Industry Agriculture Auto Small Retail Full Service Restaurant Heavy Industry Petro R/P Government Big Box Retail Hospital Warehouse Steel Primary Metals Real Estate School (K-12) Hotel Miscellaneous Mining/Construction Services College/University Small Office Trans./Comm./Utility Wholesale Grocery Large Office This Program is not available to DTE Energy business customers in multifamily buildings consisting of five or more units per building. These customers may be eligible to participate in the Multifamily Program for energy saving upgrades to both tenant and common areas. Name of Applicant’s Business Natural Gas Provider Electricity Provider DTE Energy DTE Energy Project or Building Name (If Applicable) Consumers Energy Consumers Energy Other________________________ Other________________________ DTE Energy Gas Account Number (at Project location) DTE Energy Electric Account Number (at Project location) Name as it appears on DTE Energy bill Name of Contact Person Title of Contact Person Contact Phone # Contact Fax # Contact Email Address Mailing Address City State ZIP Installation Address City State ZIP Customer Tax Information (as entered on W9) Tax Status: Limited Liability Company Corporation (Inc., PC, Etc.) Tax-Exempt Partnership Individual Other (may receive 1099) Tax ID Number: Depending on tax status please provide EITHER your EIN/Federal Tax ID or Social Security Number below: EIN/Federal Tax ID – dteenergy.com/savenow OR 3 Social Security Number – – V1:11/01/15 Customer Information Incentive Application Incentive Application (continued) Application Primary Contractor/Distributor Information Name of Company Trade Ally # Name of Contact Person Title of Contact Person Contact Phone # Contact Fax # Contact Email Address Mailing Address City State ZIP Optional Third Party Payment Authorization IMPORTANT NOTES: 1. Complete the section below ONLY if the incentive payment is to be paid to a SINGLE entity other than the DTE Account Holder. 2. Do NOT use the section below, if payments are to be made to MORE than a single third-party. 3. For payments being made to two or more third parties, please check this box , request a copy of the Third Party Addendum, have it signed by the DTE Account Holder and attach it to this Final Application. I am authorizing the payment of the incentive to the third party named below and I understand that I will not be receiving the incentive payment. I also understand that my release of the payment to a third party does not exempt me from the Program requirements outlined in the Measure Specifications, Final Application Agreement and Policies and Procedures Manual. Authorized by (print name) Title Phone # E-mail DTE Account Holder Signature Date Check should be made payable to: Payee: Company/Individual Name Mailing Address City StateZIP Contact Phone Number Payee Tax Information (as entered on W9) Tax Status: Limited Liability Company Corporation (Inc., PC, Etc.) Tax-Exempt Partnership Individual Other (may receive 1099) Tax ID Number: Depending on tax status please provide EITHER your EIN/Federal Tax ID or Social Security Number below: EIN/Federal Tax ID – dteenergy.com/savenow Social Security Number OR 4 – – V1:11/01/15 Final Application Agreement I understand that in the event this Application received a reservation, that reservation is not a guarantee of payment. Incentive payment will be based upon the Final Application meeting the Program terms and conditions, and the availability of funds. Selected terms and conditions include: 1. Final Applications and all required documentation must be received within 60 days of project completion or by Nov. 30, 2016, whichever comes first. Incomplete Applications, missing documents or Applications submitted after that date will result in the project being cancelled. 2. The Program has a limited budget. Applications will be processed until allocated funds are reserved or spent. 3. All equipment must be purchased and installed prior to submitting the Final Application. 4. Applicant agrees to inspection and measurement activities by DTE Energy or its representative of both project payment and equipment installation for up to five years from the date of equipment installation. 5. Incentives may be taxable and the Applicant is solely responsible for the payment of any resulting taxes. Incentives will be reported to the IRS, unless the Applicant is exempt. 6. The Applicant may be required to refund some or all of the incentives if the measures do not remain (or were not) installed for a period of five (5) years or the end of the product life, whichever is less. 7. Materials removed, including lamps and PCB ballasts, must be permanently taken out of service and disposed of in accordance with federal and state laws or regulation and local codes and ordinances. The Applicant is responsible for being aware of any applicable codes or ordinances. Information about hazardous waste disposal can be found at www.epa.gov/wastes. 8. For certain measures, the incentive amount will be determined based on the estimated energy savings. The Applicant may be required to provide documentation on energy savings calculations and assumptions. DTE Energy will make the final determination of the energy savings and thus the incentive amount to be paid. 9. DTE Energy has no obligations regarding and does not endorse or guarantee any claims, promises, work or equipment made, performed or furnished by any contractors or equipment vendors that sell or install any energy efficiency measures. 10.Payment of incentives under the Program and/or evaluation of Applications for incentives shall not deem DTE Energy or any of its affiliates, employees or agents (“DTE Energy Parties”) to be responsible for any work completed in connection herewith. Applicant fully releases DTE Energy Parties from any and all claims it may have against DTE Energy Parties in connection with this Application, the incentives or the work performed in connection with them. In addition, Applicant agrees to defend, indemnify and hold DTE Energy Parties harmless from and against any and all claims, losses, demands or lawsuits by any third parties arising in connection with this Application, the payment or nonpayment of incentives or any work performed in connection with them. 11.DTE Energy reserves the right to associate with your business and participation in the incentive Program for promotion and advertising purposes. See the Policies and Procedures Manual for more on promotional co-branding 12.Applicant acknowledges that Federal Energy Regulatory Commission (FERC) Order issued on June 1, 2012, at Docket No. ER114081-000 (“FERC Order”) approves of the inclusion of energy efficiency resources as planning resources in a utility’s resource adequacy plan (all italicized terms as defined in the FERC Order). Accordingly, Applicant and DTE Energy agree that all such rights afforded with respect to energy efficiency resources, including but not limited to the right to identify them as a planning resource so as to include them in a resource adequacy plan, shall inure exclusively and fully to DTE Energy. Applicant agrees that it will not claim ownership in such energy efficiency resources for purposes of identifying them as a planning resource in accord with the FERC Order or include them in a resource adequacy plan. I have read and understand the measure specifications and Program Guidelines set forth in the Application and the Program Policy and Procedures Manual and agree to abide by those requirements. Furthermore, I concur that I must meet all eligibility criteria in order to be paid under this Program and not receive incentives from any other utility for the same project. I certify that the information on this Application is true and accurate. I acknowledge and understand that it is necessary for DTE Energy to store, use and share the information contained in this Application, as well as information collected in connection with this project, including but not limited to my business name, address, account number and energy consumption data (“Customer Data”) for various purposes. Therefore, I hereby authorize DTE Energy to collect, store and use the Customer Data for internal purposes and to present me with other energy saving opportunities. I further authorize DTE Energy to share the Customer Data with third party vendors/contractors who are doing work on DTE Energy’s behalf. dteenergy.com/savenow 5 V1:11/01/15 Final Application The energy optimization measures listed within are being/have been installed in a qualifying time frame, at a qualifying facility and are not for resale. Additional Program terms and conditions can be found in the Policy and Procedures Manual available at dteenergy.com/savenow. Application Incentive Summary, Final Agreement Information and Account Holder Signature Page Measure Category Prescriptive Total (A) Custom Total (B) Michigan-Made Total Multi-Measure Total (A + B ) Multi-Measure Percentage C1 D1 D1 D2 D2 Lighting HVAC – Electric Misc. Electric Process Electric Food Service – Electric HVAC – Gas Hot Water & Laundry Insulation Process Gas Boiler/Furnace Tune-Ups Food Service – Gas Subtotals 20% Multi-Measure Bonus 15% Michigan-Made Bonus C2 C2 Incentive Subtotal Other Special Offers Other Special Offer – Code: Other Special Offer – Code: Other Special Offer – Code: Total Incentives Requested 2. Total all categories and enter in D1 3. Then, calculate the percentage of each category against the total (divide each category by D1). If no single category is more than 75% of the total, proceed to Step 4; otherwise enter $0 in D2 4. Multiply D1 by .20 and enter into D2 and again in D2 at the far right. The figures in this table will self-populate in the electronic version of this Application. In a paper version, the values must be entered manually. • For the Michigan-Made bonus: 1. By category, enter only those incentives that meet the Michigan-Made criteria and total (C1) 2. Then, multiply the total by .15 and enter into C2 and again in C2 at the far right Total all incentives in D1, D2 and C2 and enter in Incentives Subtotal. Enter any other Program Special Offer bonuses where indicated (you must attach the worksheet from each offer) and manually enter the incentive value in the space(s) provided. •For the Multiple-Measure bonus: 1. Subtotal each category (A+B) BEFORE YOU SUBMIT: Review the summary above to ensure all incentive areas reflect the worksheets you’ve completed in this Application. If you find a blank area that should be filled in, review that worksheet page. Final Agreement Information and Account Holder Signature DTE Project Number Total Project Cost Actual Completion Date DTE Account Holder Name (print) DTE Account Holder Title DTE Account Holder Signature Date For Final Applications, sign and submit only after all equipment has been installed. A customer signature is required for payment. Signed Applications received by fax or email will be treated the same as original Applications received by mail. See Page 36 for submission instructions. By signing this form, I agree to all terms and conditions listed on page 5. dteenergy.com/savenow 6 V1:11/01/15 IMPORTANT NOTE: Use the reference numbers in the left column to identify and mark all related invoices, specification sheets and other documents related to that measure and submitted with this Application. Lighting Incentive Worksheet Compact Fluorescents and LEDs (Incandescent/Halogen to CFL or LED) Check the Michigan-Made box only if the piece of equipment is for a full unit replacement and not a retrofit for which you are seeking an incentive, meets the Michigan-Made bonus specifications and you can provide the manufacturer affidavit. Equipment Type Incentive Unit LF–1 CFL – Screw–in (≤ 31 Watts) $0.75 Lamp LF–2 CFL – Screw–in (> 31 Watts) $5.00 Lamp LF–3 CFL Reflector Flood Lamps $5.00 Lamp LF–4 Compact Fluorescent Fixture $10.00 Fixture LF–5 42W 8 Lamp High Bay Compact Fluorescent Fixture $20.00 Fixture LL–1 LED A–Line Lamps <19 watts $5.00 Lamp LL–2 LED A–Line Lamps ≥ 19 watts $8.00 Lamp LL–3 LED Recessed Down Lights $8.00 Lamp LL–4 LED MR16 Lamps $6.00 Lamp LL–5 LED PAR/BR/R Lamps $8.00 Lamp LL–6 LED Candelabra Lamps replacing Incandescent Candelabra $5.00 Lamp LL–7 LED Globe Lamps replacing Incandescent Globe $6.00 Lamp LL–8 LED A–line Lamps replacing CFL A–line $0.75 Lamp LL–9 LED PAR/BR/R Lamps replacing CFL PAR/BR/R lamp $1.00 Lamp LL–10 LED Recessed Down Lights replacing CFL Recessed Down Lights $2.00 Lamp # of Units Total Incentive Lighting Ref # Interior High Performance (HP) and Low Wattage (LW) 4–foot Linear Fluorescents. All lamps are 4ft unless otherwise stated. Ref # Equipment Type LF–6 LW T8 (Lamps Only, 4ft Linear or U–Lamp) NOTE: Reservation Application is required for all LW T8 lamp only projects. Incentive Unit $1.00 Lamp LF–7 1 Lamp HP T8, replacing T8/T12 $2.00 Fixture LF–8 2 Lamp HP T8, replacing T8/T12 $3.00 Fixture LF–9 3 Lamp HP T8, replacing T8/T12 $4.00 Fixture LF–10 4 Lamp HP T8, replacing T8/T12 $5.00 Fixture LF–11 1 Lamp LW HP T8, replacing T8/T12 $3.00 Fixture LF–12 2 Lamp LW HP T8, replacing T8/T12 $5.00 Fixture LF–13 3 Lamp LW HP T8, replacing T8/T12 $7.00 Fixture LF–14 4 Lamp LW HP T8, replacing T8/T12 $9.00 Fixture # of Units Total Incentive Qualifying lamps and ballasts can be found at www.cee1.org. Interior Linear LED (Reservation Application Required) Ref # Brief Description of Pre– and Post–Fixtures Annual Hours of Operation (A) # of Fixtures (B) Pre–Upgrade kW/Fixture (C) Post–Upgrade kW/Fixture (D) Total kWh Reduced (A x B x (C – D) ) = (E) Incentive $/kWh (F) LL–11 $0.07 LL–12 $0.07 LL–13 $0.07 LL–14 $0.07 LL–15 $0.07 LL–16 $0.07 Michigan-Made Total Incentive (E x F) All Measures Subtotal Lighting Incentives – Page 1 dteenergy.com/savenow 7 V1:11/01/15 IMPORTANT NOTE: Use the reference numbers in the left column to identify and mark all related invoices, specification sheets and other documents related to that measure and submitted with this Application. Lighting Incentive Worksheet (continued) Lighting Interior High–Intensity Discharge (HID) to Fluorescent Fixtures Check the Michigan-Made box only if the piece of equipment is for a full unit replacement and not a retrofit for which you are seeking an incentive, meets the Michigan-Made bonus specifications and you can provide the manufacturer affidavit. Ref # Equipment Type Incentive Unit LF–15 3 Lamp T5 HO, replacing 250W HID $30.00 Fixture LF–16 4 Lamp T5 HO, replacing 400W HID $60.00 Fixture LF–17 6 Lamp T5 HO, replacing 400W HID $25.00 Fixture LF–18 12 Lamp T5 HO, replacing 1000W HID (any combination of 12 lamps permitted)* $100.00 Fixture LF–19 4 Lamp 32W T8, replacing 250W HID $45.00 Fixture LF–20 6 Lamp 32W T8, replacing 400W HID $65.00 Fixture LF–21 8 Lamp 32W T8, replacing 400W HID $45.00 Fixture LF–22 16 Lamp 32W T8, replacing 1000W HID (any combination of 16 lamps permitted)* $140.00 Fixture LF–23 ≤ 499W (magnetic ballast), replacing 400 to 800W Probe Start $25.00 Fixture LF–24 ≤ 499W (electronic ballast), replacing 400 to 800W Probe Start $40.00 Fixture 500 to 750W (magnetic ballast), replacing > 800W Probe Start $45.00 Fixture 500 to 750W (electronic ballast), replacing > 800W Probe Start $60.00 Fixture LF–25 Pulse Start Metal Halide LF–26 # of Units Total Incentive *Reservation Application required Interior LED or Induction High Bay (Reservation Application Required) Pre–Upgrade Ref # Brief Description of Existing Fixture Model and New Fixture Model Post–Upgrade # of # of Lamps/ Watts/ # of # of Lamps/ Watts/ Fixtures (A) Fixture Fixture (B) Fixtures (C) Fixture Fixture (D) Total Watts Reduced (E) = Incentive/ (A x B) – (C x D) kW / 1000 Reduced (F) LL–17 $250.00 LL–18 $250.00 LL–19 $250.00 Total Incentive (E x F) Exterior or Garage HID to LED/Induction Lighting Retrofit (annual operating hours less than 8,760) Ref # Equipment Type Incentive Unit LL–20 LED or Induction replacing ≤ 175W HID $20.00 Fixture LL–21 LED or Induction replacing 176W to 250W HID $35.00 Fixture LL–22 LED or Induction replacing 251W to 400W HID $55.00 Fixture # of Units Total Incentive Exterior or Garage HID to LED/Induction Lighting Retrofit (annual operating hours equal to 8,760) Ref # Equipment Type LL–23 LED or Induction replacing ≤ 175W HID Incentive Unit $50.00 Fixture LL–24 LED or Induction replacing 176W to 250W HID $75.00 Fixture LL–25 LED or Induction replacing 251W to 400W HID $120.00 Fixture # of Units Total Incentive Exterior HID to Linear Fluorescent (Reservation Application Required) Pre–Upgrade Ref # Brief Description of Existing Fixture Model and New Fixture Model Post–Upgrade # of # of Lamps/ Watts/ # of # of Lamps/ Watts/ Fixtures (A) Fixture Fixture (B) Fixtures (C) Fixture Fixture (D) Total Watts Reduced (E) = Incentive/ (A x B) – (C x D) kW / 1000 Reduced (F) LF–27 $200.00 LF–28 $200.00 LF–29 $200.00 Michigan-Made Total Incentive (E x F) All Measures Subtotal Lighting Incentives – Page 2 dteenergy.com/savenow 8 V1:11/01/15 IMPORTANT NOTE: Use the reference numbers in the left column to identify and mark all related invoices, specification sheets and other documents related to that measure and submitted with this Application. Lighting Incentive Worksheet (continued) Exterior High–Intensity Discharge (HID) replacements with CFLs Check the Michigan-Made box only if the piece of equipment is for a full unit replacement and not a retrofit for which you are seeking an incentive, meets the Michigan-Made bonus specifications and you can provide the manufacturer affidavit. Ref # Equipment Type Incentive Unit LL–26 Exterior CFL replacing up to 175W HID $15.00 Fixture LL–27 Exterior CFL replacing 176W to 250W HID $22.50 Fixture LL–28 Exterior CFL replacing 251W to 400W HID $42.50 Fixture Total Incentive # of Units Total Incentive # of Units Total Incentive # of Units Total Incentive # of Units Total Incentive # of Units Total Incentive Exit Sign Conversion Ref # Equipment Type LL–29 LED Exit Signs Electronic Fixtures Retrofit or Replacement Incentive Unit $12.50 Fixture Traffic Signal Conversion Ref # Equipment Type Incentive Unit LL–30 LED Auto Traffic Signals $20.00 Signal LL–31 LED Pedestrian Signals $15.00 Signal Controls Ref # LO–1 LO–2 Equipment Type Interior Occupancy Sensors ≤ 500 Watts Controlled Unit $20.00 Sensor $50.00 Sensor LO–3 Interior Central Lighting Control ($0.06 per Sq. Ft.) $600.00 10,000 Sq. Ft. LO–4 Interior Switching Controls for Multilevel Lighting ($0.05 per Sq. Ft.) $500.00 10,000 Sq. Ft. LO–5 Interior Daylight Sensor Controls ($0.09 per Sq. Ft.) $900.00 10,000 Sq. Ft. LO–6 Combination Occupancy and Daylight Sensor Controls ≤ 500 Watts Controlled $25.00 Sensor > 500 Watts Controlled $65.00 Sensor LO–17 > 500 Watts Controlled Incentive LO–8 Stairwell Bi–Level Lighting Controls (Reservation required) $0.30 Watt Controlled LO–9 Exterior HID Lighting Bi–level Control w/Override, 150W to 1000W HID $50.00 Fixture LO–10 Exterior Multi–Step Dimming Timing Controls $0.06 Watt Controlled NOTE: Incentives are available for only one lighting control measure for a given space. Daylighting Ref # Equipment Type LO–11 Tubular Skylights (Light Tubes) Incentive Unit $35.00 Tube Food Service Lighting Ref # Equipment Type Incentive Unit LL–32 LED Refrigerated Case Door Lighting $30.00 Door LL–33 Occupancy Sensors for LED Refrigerated Case Lighting $15.00 Door NOTE: The incentives for LL–32 and LL–33 cannot be combined with incentives for Refrigeration savings due to lighting wattage reductions. (See Page 21). De–lamping (Note: a Reservation Application is required for all De–lamping projects) Ref # Equipment Type LO–12 T12 or T8 4ft Lamp Removal (combined with HPT8 or LWHPT8 ballast retrofit) Incentive Unit $2.50 Lamp Removed # of Units Michigan-Made Total Incentive All Measures Subtotal Lighting Incentives – Page 3 Total Lighting Incentives dteenergy.com/savenow 9 V1:11/01/15 Lighting # of Units IMPORTANT NOTE: Use the reference numbers in the left column to identify and mark all related invoices, specification sheets and other documents related to that measure and submitted with this Application. HVAC – Electric Incentive Worksheet Check the Michigan-Made box only if the piece of equipment is for a full unit replacement and not a retrofit for which you are seeking an incentive, meets the Michigan-Made bonus specifications and you can provide the manufacturer affidavit. Air Conditioning Systems and Heat Pumps Size Category Qualifying Efficiency HE–1 ≤ 65,000 Btu/hr (5.4 tons) – 1 Phase 14.0 SEER $10 HE–2 ≤ 65,000 Btu/hr (5.4 tons) – 3 Phase 14.0 SEER $10 HE–3 > 65,000 Btu/hr (5.4 tons), ≤ 135,000 Btu/hr (11.3 tons) 12.0 EER $15 > 135,000 Btu/hr (11.3 tons), ≤ 240,000 Btu/hr (20 tons) 12.0 EER $15 HE–5 > 240,000 Btu/hr (20 tons), ≤ 760,000 Btu/hr (63.3 tons) 10.8 EER $10 HE–6 > 760,000 Btu/hr (63.3 tons) 10.2 EER $10 HE–7 ≤ 65,000 Btu/hr (5.4 tons) – 1 Phase 14.0 SEER $20 HE–8 ≤ 65,000 Btu/hr (5.4 tons) – 3 Phase 14.0 SEER $10 > 65,000 Btu/hr (5.4 tons), ≤ 135,000 Btu/hr (11.3 tons) 11.5 EER $20 HE–10 > 135,000 Btu/hr (11.3 tons), ≤ 240,000 Btu/hr (20 tons) 11.5 EER $25 HE–11 > 240,000 Btu/hr (20 tons) 10.5 EER $30 HE–12 ≤ 17,000 Btu/hr (1.4 tons) 11.5 EER $10 HE–13 > 17,000 Btu/hr (1.4 tons), ≤ 65,000 Btu/hr (5.4 tons) 12.3 EER $8 > 65,000 Btu/hr (5.4 tons), ≤ 135,000 Btu/hr (11.3 tons) 12.3 EER $8 ≤ 14,000 Btu/hr (1.17 tons) 9.5 EER N/A* $10 > 14,000 Btu/hr (1.17 tons) 9.2 EER N/A* $25 Ref # HVAC Electric HE–4 HE–9 Equipment Type Unitary and Split Air Conditioning Systems Air Source Heat Pumps Closed Loop Heat Pump HE–14 HE–15 HE–16 Room Air Conditioners Installed Efficiency Unit Size (tons) (A) Quantity (B) Incentive per unit (C ) HE–17 Package Terminal Air Conditioner ALL 9.3 EER $5 HE–18 Package Terminal Heat Pump ALL 9.1 EER $10 17 EER $22.50 HE–19 HE–20 HE–21 HE–22 Ground-Source Heat Pump Ground-Source Heat Pump (replacing Air Source Heat Pump) ≤ 135,000 Btu/hr (11.3 tons) ≤ 135,000 Btu/hr (11.3 tons) 19 EER $30 17 EER $150 19 EER $175 Incentive (A*B*C) * Incentive is per Unit Select the HVAC system in operation at the project site (ask your contractor for assistance) AC with gas heat CV reheat no econ with Gas Engine Chiller PTAC-HP Air source heat pump CV reheat no econ with Water Cooled Chiller Refrigeration CV reheat econ with Air Cooled Chiller Gas heat only VAV reheat econ with Air Cooled Chiller CV reheat econ with Gas Engine Chiller Ground source heat pump VAV reheat econ with Gas Engine Chiller CV reheat econ with Water Cooled Chiller MZS no econ with Air Cooled Chiller VAV reheat econ with Water Cooled Chiller CV reheat no econ with Air Cooled Chiller PTAC Water loop heat pump Michigan-Made All Measures Subtotal HVAC – Electric Incentives – Page 1 dteenergy.com/savenow 10 V1:11/01/15 IMPORTANT NOTE: Use the reference numbers in the left column to identify and mark all related invoices, specification sheets and other documents related to that measure and submitted with this Application. HVAC – Electric Incentive Worksheet Check the Michigan-Made box only if the piece of equipment is for a full unit replacement and not a retrofit for which you are seeking an incentive, meets the Michigan-Made bonus specifications and you can provide the manufacturer affidavit. HVAC Controls Ref # Measure Name Size Incentive HE–23 Programmable Thermostat (Air Conditioning) ALL $20.00 Thermostat HE–24 Chilled Water Reset with Pump on/off Control ALL $5.00 1,000 Sq. Ft. HE–25 Setback-Setup Controls (Air Conditioning) HE–26 Unit ALL $18.00 1,000 Sq. Ft. Air Conditioning, Electric Heat ALL $30.00 Room Air Conditioning, Gas Heat ALL $15.00 Room ALL $25.00 1,000 Sq. Ft. HE–27 Hotel Guestroom Energy Management Control HE–28 Web enabled EMS (Electric) (Reservation required) ≤ 100 tons $1.00 Ton HE–30 > 100 tons, ≤ 200 tons $1.00 Ton HE–31 > 200 tons, ≤ 300 tons $1.00 Ton HE–32 > 300 tons, ≤ 400 tons $1.00 Ton HE–33 > 400 tons, ≤ 500 tons $1.00 Ton HE–34 ≤ 1,000 tons $1.00 Ton > 1,000 tons, ≤ 2,000 tons $0.50 Ton > 2,000 tons, ≤ 3,000 tons $0.50 Ton HE–35 Chilled Water Reset – Air Cooled Chilled Water Reset – Water Cooled HE–36 Total Incentive # of Units Total Incentive # of Units Total Incentive HVAC Electric HE–29 # of Units HVAC Occupancy Sensor for Large Office Building Ref # Measure Name Size Incentive Unit HE–37 With CV Chilled Water System ALL $30.00 1,000 Sq. Ft. HE–38 With VAV Chilled Water System ALL $5.00 1,000 Sq. Ft. Other HVAC Ref # Measure Name Size Incentive Unit HE–39 Variable Frequency Drive – VAV Supply or Return Air Fan ALL $50.00 Fan HP HE–40 Variable Frequency Drive – Secondary Chilled Water Pump ALL $50.00 Pump HP HE–41 Economizer ALL $8.00 Ton HE–42 Cool Roof ($0.02 per Sq. Ft.) ALL $20.00 1,000 Sq. Ft. Roof Area HE–43 High Performance Glazing in Windows ($0.30 per Sq.Ft.) ALL $30.00 100 Sq.Ft. of Glazing HE–44 Window Film ($0.30 per Sq. Ft.) ALL $30.00 100 Sq. Ft. of Film HE–45 EC Motors on Small Commercial Furnaces replacing non–EC Motors ALL $90.00 HP HE–46 Efficient Chilled Water Pump ALL $35.00 HP HE–47 Efficient Hot Water Pump ALL $35.00 HP Reference numbers highlighted in orange denote measures that appear in both the Gas and Electric section of the Program, which means they may qualify for the Multi-Measure Bonus. To receive the bonus, submit both the Electric and Gas measure on the same Application. Michigan-Made All Measures Subtotal HVAC – Electric Incentives – Page 2 dteenergy.com/savenow 11 V1:11/01/15 IMPORTANT NOTE: Use the reference numbers in the left column to identify and mark all related invoices, specification sheets and other documents related to that measure and submitted with this Application. HVAC – Electric Incentive Worksheet Check the Michigan-Made box only if the piece of equipment is for a full unit replacement and not a retrofit for which you are seeking an incentive, meets the Michigan-Made bonus specifications and you can provide the manufacturer affidavit. HVAC Electric Tune-up Checklist Site Name Date of Tune-up Manufacturer Type (Ref. Charge/DX coil/Chiller) Model Number Annual Hours of Operation Serial Number Unit Size (Tons) Company Performing Tune-up Technician Performing Tune-up Refrigerant Charging Correction on RTU AC Unit must meet minimum efficiency per ASHRAE 90.1 2007, Table 6.8.1a (see appendix in Program Catalog) Unit rated charge (psig) Efficiency of unit (EER/SEER) Charge unit adjusted to (psig +/- 20% of rated charge) Unit existing charge (psig) DX Condenser Coil Cleaning Airflow Readings Before Cleaning (CFM) Airflow Readings After Cleaning (CFM) Average of all readings: __________________ Average of all readings: __________________ Chiller Tune-Up (check one) Space Cooling Process Cooling Inspect and correct oil level and pressure at full load operation Clean the air-cooled condenser coil Check and adjust the system pressure Inspect and/or replace filter Inspect and/or replace belt Check and repair the electrical contactors Check refrigerant temperature and pressure Validate high pressure controls Clean water cooled chiller condenser tubes Check and repair economizer operation Check suction pressure and temp Validate suction temperature and pressure Validate low-pressure controls Patch and wash coat as required Validate crankcase heater operation Check for proper venting Clean water cooled chiller evaporator tubes (If performance warrants) Check and repair evaporator condition Validate sub-cooling and superheat Validate compressor amp draw Inspect all refractory Validate supply motor amp draw Check safety controls Validate condenser fan(s) amp draw Lubricate all motors and Check coupling alignment Check liquid line temperature HVAC Tune–ups Ref # Equipment Type Incentive Unit HE–48 HE–49 Refrigerant charging correction on RTU AC $3.00 Ton DX Condenser Coil Cleaning $3.00 Ton HE–50 Chiller Tuneup $3.00 Ton # of Units Total Incentive Michigan-Made All Measures Subtotal HVAC – Electric Incentives – Page 3 dteenergy.com/savenow 12 V1:11/01/15 IMPORTANT NOTE: Use the reference numbers in the left column to identify and mark all related invoices, specification sheets and other documents related to that measure and submitted with this Application. HVAC – Electric Incentive Worksheet Check the Michigan-Made box only if the piece of equipment is for a full unit replacement and not a retrofit for which you are seeking an incentive, meets the Michigan-Made bonus specifications and you can provide the manufacturer affidavit. Air-Cooled Chillers Ref # Equipment Type Qualifying Full Load Efficiency (kW/ton) Input Full Load Efficiency (kW/ton) CH–1 Qualifying IPLV (kW/ton) Installed IPLV (kW/ton) Unit Size (tons) (A) Quantity (B) Incentive (per ton) (C ) $25 0.90 $25 CH–3 0.83 $25 CH–4 1.05 $25 0.94 $25 0.82 $25 CH–7 0.75 $25 CH–8 0.96 $25 1.26 CH–5 CH–6 Reciprocating Chiller CH–9 1.14 0.86 $25 0.75 $25 CH–11 0.69 $25 CH–12 1.02 $25 1.05 CH–10 CH–13 0.97 $25 CH–14 0.74 $25 CH–15 1.05 $25 CH–16 0.93 $25 CH–17 1.26 Screw or Scroll Chiller 1.14 0.88 $25 CH–18 0.67 $25 CH–19 0.96 $25 CH–20 0.85 $25 0.80 $25 0.62 $25 CH–21 1.05 CH–22 HVAC Electric 1.03 CH–2 Incentive (A*B*C) NOTE: NOTE: kW/ton = 12 ÷ EER, kW/ton = 3.517 ÷ COP. Michigan-Made All Measures Subtotal HVAC – Electric Incentives – Page 4 dteenergy.com/savenow 13 V1:11/01/15 IMPORTANT NOTE: Use the reference numbers in the left column to identify and mark all related invoices, specification sheets and other documents related to that measure and submitted with this Application. HVAC – Electric Incentive Worksheet Check the Michigan-Made box only if the piece of equipment is for a full unit replacement and not a retrofit for which you are seeking an incentive, meets the Michigan-Made bonus specifications and you can provide the manufacturer affidavit. Water-Cooled Chillers – Centrifugal Chiller Ref # Capacity (A) Qualifying Full Load Efficiency (kW/ton) Installed Full Load Efficiency (kW/ton) CH–23 CH–24 Installed IPLV (kW/ton) Unit Size (tons) (A) Quantity (B) Incentive (per ton) (C ) 0.34 $45 0.4 $40 0.43 $35 CH–26 0.46 $30 CH–27 0.53 $25 CH–28 0.38 $30 CH–29 0.45 $25 0.48 $20 CH–31 0.51 $15 CH–32 0.6 $10 CH–33 0.42 $20 0.5 $15 0.53 $10 0.56 CH–25 HVAC Electric Qualifying IPLV (kW/ ton) CH–30 < 150 tons CH–34 0.63 0.7 CH–35 CH–36 0.57 $5 CH–37 0.3 $45 0.36 $40 0.39 $35 CH–40 0.41 $30 CH–41 0.48 $25 CH–42 0.34 $30 CH–43 0.4 $25 0.43 $20 CH–45 0.46 $15 CH–46 0.54 $10 CH–47 0.38 $20 0.45 $15 0.48 $10 CH–38 0.51 CH–39 CH–44 150 – 300 tons CH–48 0.57 0.63 CH–49 CH–50 0.51 $5 CH–51 0.28 $45 0.33 $40 0.35 $35 CH–54 0.37 $30 CH–55 0.44 $25 CH–56 0.31 $30 CH–57 0.37 $25 0.39 $20 CH–59 0.42 $15 CH–60 0.49 $10 CH–61 0.35 $20 0.41 $15 0.44 $10 0.47 $5 CH–52 0.46 CH–53 CH–58 > 300 tons CH–62 CH–63 0.52 0.58 CH–64 NOTE: NOTE: kW/ton = 12 ÷ EER, kW/ton = 3.517 ÷ COP. Michigan-Made Incentive (A*B*C) All Measures Subtotal HVAC – Electric Incentives – Page 5 dteenergy.com/savenow 14 V1:11/01/15 IMPORTANT NOTE: Use the reference numbers in the left column to identify and mark all related invoices, specification sheets and other documents related to that measure and submitted with this Application. HVAC – Electric Incentive Worksheet Check the Michigan-Made box only if the piece of equipment is for a full unit replacement and not a retrofit for which you are seeking an incentive, meets the Michigan-Made bonus specifications and you can provide the manufacturer affidavit. Water-Cooled Chillers – Screw or Scroll Chiller Ref # Capacity (A) Qualifying Full Load Efficiency (kW/ton) Installed Full Load Efficiency (kW/ton) Qualifying IPLV (kW/ ton) Installed IPLV (kW/ton) Unit Size (tons) (A) Quantity (B) Incentive (per ton) (C ) CH–65 0.38 $50 CH–66 0.41 $45 CH–67 0.44 $40 0.63 CH–68 $35 0.5 $30 CH–70 0.56 $25 CH–71 0.43 $40 CH–72 0.46 $35 CH–73 < 150 tons 0.5 $30 0.53 $25 CH–75 0.56 $20 CH–76 0.63 $15 CH–77 0.47 $30 0.51 $25 0.55 $20 CH–80 0.59 $15 CH–81 0.62 $10 CH–82 0.34 $50 CH–83 0.37 $45 CH–84 0.4 $40 CH–74 0.71 CH–78 0.79 CH–79 0.57 CH–85 0.43 $35 CH–86 0.45 $30 CH–87 0.51 $25 CH–88 0.39 $40 CH–89 0.42 $35 0.45 $30 0.48 $25 CH–92 0.51 $20 CH–93 0.57 $15 CH–94 0.43 $30 0.47 $25 0.5 $20 CH–97 0.54 $15 CH–98 0.57 $10 CH–90 150 – 300 tons CH–91 0.65 CH–95 CH–96 0.72 HVAC Electric 0.47 CH–69 Incentive (A*B*C) NOTE: NOTE: kW/ton = 12 ÷ EER, kW/ton = 3.517 ÷ COP. Michigan-Made All Measures Subtotal HVAC – Electric Incentives – Page 6 dteenergy.com/savenow 15 V1:11/01/15 IMPORTANT NOTE: Use the reference numbers in the left column to identify and mark all related invoices, specification sheets and other documents related to that measure and submitted with this Application. HVAC – Electric Incentive Worksheet Check the Michigan-Made box only if the piece of equipment is for a full unit replacement and not a retrofit for which you are seeking an incentive, meets the Michigan-Made bonus specifications and you can provide the manufacturer affidavit. Water-Cooled Chillers – Screw or Scroll Chiller (Continued) Ref # Capacity (A) Qualifying Full Load Efficiency (kW/ton) Qualifying IPLV (kW/ ton) Installed IPLV (kW/ton) Unit Size (tons) (A) Quantity (B) Incentive (per ton) (C ) CH–99 0.31 $50 CH–100 0.33 $45 0.36 $40 CH–101 0.51 CH–102 HVAC Electric Installed Full Load Efficiency (kW/ton) 0.38 $35 CH–103 0.4 $30 CH–104 0.46 $25 CH–105 0.35 $40 CH–106 0.37 $35 0.4 $30 0.43 $25 CH–109 0.45 $20 CH–110 0.51 $15 CH–111 0.38 $30 CH–112 0.42 $25 0.45 $20 CH–114 0.48 $15 CH–115 0.51 $10 CH–107 > 300 tons CH–108 CH–113 0.58 0.64 Incentive (A*B*C) NOTE: NOTE: kW/ton = 12 ÷ EER, kW/ton = 3.517 ÷ COP. Michigan-Made All Measures Subtotal HVAC – Electric Incentives – Page 7 Total HVAC – Electric Incentives dteenergy.com/savenow 16 V1:11/01/15 IMPORTANT NOTE: Use the reference numbers in the left column to identify and mark all related invoices, specification sheets and other documents related to that measure and submitted with this Application. Miscellaneous Electric Incentive Worksheet Check the Michigan-Made box only if the piece of equipment is for a full unit replacement and not a retrofit for which you are seeking an incentive, meets the Michigan-Made bonus specifications and you can provide the manufacturer affidavit. Sensors and Controls Ref # Equipment Type Incentive Unit ME–1 Intelligent Multi-Socket Surge Protector $5.00 Protector ME–2 PC Network Energy Management Controls $5.00 PC # of Units Total Incentive # of Units Total Incentive # of Units Total Incentive Clothes Washers Ref # ME–3 ME–4 Equipment Type High Efficiency Clothes Washer Incentive Unit Electric Water Heat, Electric Dryer $50.00 Washer Electric Water Heat, Gas Dryer $50.00 Washer Miscellaneous Electric Equipment Type Heat Pump Storage Water Heater Incentive Unit $350.00 Heater Michigan-Made All Measures Total Miscellaneous Electric Incentives dteenergy.com/savenow 17 V1:11/01/15 Misc. Electric Ref # ME–5 IMPORTANT NOTE: Use the reference numbers in the left column to identify and mark all related invoices, specification sheets and other documents related to that measure and submitted with this Application. Process Electric Incentive Worksheet Check the Michigan-Made box only if the piece of equipment is for a full unit replacement and not a retrofit for which you are seeking an incentive, meets the Michigan-Made bonus specifications and you can provide the manufacturer affidavit. High Efficiency Pumps Ref # Equipment Type (A) Incentive (B) Incentive Unit PE–1 PE–2 1.5 HP $20.00 HP 2 HP $20.00 HP PE–3 3 HP $20.00 HP PE–4 5 HP $20.00 HP PE–5 7.5 HP $20.00 HP PE–6 10 HP $20.00 HP PE–7 15 HP $20.00 HP PE–8 20 HP $20.00 HP # of Pumps (C) Total HP (A x C) Total Incentive (A x B x C) # of Pumps (C) Total HP (A x C) Total Incentive (A x B x C) # of Units Total Incentive Variable Frequency Drive for Process Process Electric Ref # Equipment Type Size (A) Incentive (B) Incentive Unit PE–9 1.5 HP $50.00 HP PE–10 2 HP $50.00 HP PE–11 3 HP $50.00 HP PE–12 5 HP $50.00 HP PE–13 7.5 HP $50.00 HP PE–14 10 HP $50.00 HP PE–15 Process Pumps 15 HP $50.00 HP PE–16 20 HP $50.00 HP PE–17 25 HP $50.00 HP PE–18 30 HP $50.00 HP PE–19 40 HP $50.00 HP PE–20 50 HP $50.00 HP PE–21 Process Fans (≤ 50 HP) $30.00 HP PE–22 VFD on Computer Room AC Supply Fans $150.00 HP Compressed Air Ref # Equipment Type Incentive Unit CA–23 CA–24 Compressed Air Engineered Nozzle $50.00 Nozzle Compressed Air Pressure Flow Controller – Reservation Application Required $4.00 HP CA–25 Compressed Air Audit with Leak Repair – Reservation Application Required prior to leak repair $35.00 SCFM CA–26 VSD Air Compressor $80.00 HP CA–27 CA–28 Efficient Compressed Air Dryers CA–29 Refrigerated Cycling Thermal Mass $0.30 SCFM Refrigerated Variable Speed Compressor $1.00 SCFM $1.00 SCFM CA–30 Refrigerated Air Dryer replacing Desiccant Air Dryer Refrigerated Digital Scroll $30.00 SCFM CA–31 No–Loss Condensate Drains on Air Compressors $140.00 Drain CA–32 Compressed Air Storage Tank $25.00 HP Michigan-Made All Measures Subtotal Process Electric Incentives – Page 1 dteenergy.com/savenow 18 V1:11/01/15 IMPORTANT NOTE: Use the reference numbers in the left column to identify and mark all related invoices, specification sheets and other documents related to that measure and submitted with this Application. Process Electric Incentive Worksheet Check the Michigan-Made box only if the piece of equipment is for a full unit replacement and not a retrofit for which you are seeking an incentive, meets the Michigan-Made bonus specifications and you can provide the manufacturer affidavit. Miscellaneous Process Ref # Equipment Type PE–23 PE–24 Industrial 3-Phase HF Battery Charger PE–25 PE–26 PE–27 Electrically Commutated Plug Fans Incentive Unit 1-shift operation $85.00 Charger 2-shift operation $160.00 Charger 3-shift operation $220.00 Charger In-Cabinet $65.00 Fan Under-Cabinet $110.00 Fan PE-28 PE-29 Computer Room Air Conditioning (CRAC) Units <65 MBH SCOP: 2.86 $10.00 Output MBH 65-240 MBH SCOP: 2.73 $11.00 Output MBH >240 MBH SCOP: 2.47 PE-30 Output MBH Square Foot 3" diameter $10.00 Linear foot 4" diameter $15.00 Linear foot 5" diameter $20.00 Linear foot PE–35 6" diameter $25.00 Linear foot PE–36 8" diameter $30.00 Linear foot Low Temp (120°F – 170°F) $1.00 Square foot High Temp (> 170°F) $1.50 Square foot Low Temp (120°F – 170°F) $1.00 Square foot High Temp (> 170°F) $2.00 Square foot Barrel Wraps for Injection Molders & Extruders PE–32 PE–33 PE–34 PE–37 PE–38 PE–39 PE–40 Insulated Pellet Dryer Ducts Tank Insulation – 1” Tank Insulation – 2” PE–41 Electric Motors replacing Pneumatic (Air) Motors $90.00 HP PE–42 High Efficiency Welders (Reservation required) $50.00 Welder Total Incentive Process Electric $12.00 $25.00 PE–31 # of Units Michigan-Made All Measures Subtotal Process Electric Incentives – Page 2 Total Process Electric Incentives dteenergy.com/savenow 19 V1:11/01/15 IMPORTANT NOTE: Use the reference numbers in the left column to identify and mark all related invoices, specification sheets and other documents related to that measure and submitted with this Application. Food Service – Electric and Refrigeration Incentive Worksheet Check the Michigan-Made box only if the piece of equipment is for a full unit replacement and not a retrofit for which you are seeking an incentive, meets the Michigan-Made bonus specifications and you can provide the manufacturer affidavit. ENERGY STAR® Commercial Solid Door Refrigerators and Freezers Ref # Equipment Type Size Incentive Unit < 15 cu ft $75.00 Refrigerator 15 – 30 cu ft $100.00 Refrigerator 31 – 50 cu ft $150.00 Refrigerator FE–4 > 50 cu ft $200.00 Refrigerator FE–5 < 15 cu ft $75.00 Freezer 15 – 30 cu ft $100.00 Freezer 31 – 50 cu ft $150.00 Freezer > 50 cu ft $200.00 Freezer FE–1 FE–2 FE–3 FE–6 FE–7 Refrigerators Freezers FE–8 # of Units Total Incentive # of Units Total Incentive # of Units Total Incentive # of Units Total Incentive ENERGY STAR® Steam Cookers and Hot Holding Cabinets Ref # Equipment Type Type Incentive Unit 3 Pan $450.00 Cooker 4 Pan $600.00 Cooker 5 Pan $750.00 Cooker FE–12 6 Pan $900.00 Cooker FE–13 Half Size $300.00 Cabinet Three Quarter Size $400.00 Cabinet Full Size $600.00 Cabinet Incentive Unit FE–9 FE–10 Food Service – Electric FE–11 FE–14 Steam Cookers Hot Holding Cabinets FE–15 Controls Ref # Equipment Type FE–16 Beverage Vending Machine Controllers $50.00 Controller FE–17 Anti-Sweat Heater Controls $50.00 Door FE–18 Floating Head Pressure Controls $20.00 Ton Energy Efficient Ice Machines Ref # Equipment Type Incentive Unit FE–19 < 500 lbs $150.00 Machine FE–20 500 to 1,000 lbs $250.00 Machine FE–21 > 1,000 lbs $500.00 Machine Michigan-Made All Measures Subtotal Food Service – Electric and Refrigeration Incentives – Page 1 dteenergy.com/savenow 20 V1:11/01/15 IMPORTANT NOTE: Use the reference numbers in the left column to identify and mark all related invoices, specification sheets and other documents related to that measure and submitted with this Application. Food Service – Electric and Refrigeration Incentive Worksheet Check the Michigan-Made box only if the piece of equipment is for a full unit replacement and not a retrofit for which you are seeking an incentive, meets the Michigan-Made bonus specifications and you can provide the manufacturer affidavit. Refrigeration Ref # Equipment Type Incentive Unit FE–22 Efficient Refrigeration Condenser $100.00 Ton FE–23 ECM Motor for Reach-in Refrigerated Display Case $60.00 Motor FE–24 ECM Motor for Walk-in Cooler and Freezer $80.00 Motor FE–25 Evaporator Fan Motor Control on ECM Motors for Walk-in Coolers and Freezers $30.00 Controller FE–26 Evaporator Fan Motor Control on PSC Motors for Walk-in Coolers and Freezers $30.00 Controller FE–27 Walk–in Cooler/Freezer Evaporator Fan Motor Reduction (Reservation required) $100.00 Motor Removed FE–28 Night Covers (Vertical)* $1.25 Linear Foot x Hrs/Day FE–29 Strip Curtains on Walk-in Cooler Doors $3.00 Square Foot FE–30 Strip Curtains on Walk-in Freezer Doors $15.00 Square Foot FE–31 Door Gaskets on Coolers and Freezers $2.50 Linear Foot FE–32 Automatic Door Closers for Refrigerated Walk–in Coolers/Freezers Doors (Reservation required) $50.00 Door Medium Temp $40.00 Linear Foot Low Temp $100.00 Linear Foot FE–33 FE–34 Reach–in Refrigerated Display Case Door Retrofit (Reservation required) # of Units Ft. Total Incentive Hrs. Food Service – Electric * To calculate night cover incentive, multiply incentive x linear ft x hrs that night cover is used per day Food Service Lighting Ref # Equipment Type FE–35 FE–36 Refrigerated Savings due to Lighting Savings FE–37 Incentive Unit -20°F to 0°F $0.15 Lighting watt reduced 0°F to 20°F $0.10 Lighting watt reduced 20°F to 40°F $0.07 Lighting watt reduced # of Units Total Incentive NOTE: These food service lighting incentives due to wattage reductions cannot be combined with incentives for Food Service Lighting on Page 9. These lighting measures can be found on Page 9: Ref # Equipment Type Incentive Unit LO–15 LO–16 LED Refrigerated Door Case Lighting $30.00 Door Occupancy Sensors for LED Refrigerated Case Lighting $15.00 Door Reference numbers highlighted in orange denote measures that appear in both the Gas and Electric section of the Program, which means they may qualify for the Multi-Measure Bonus. To receive the bonus, submit both the Electric and Gas measure on the same Application. Michigan-Made All Measures Subtotal Food Service – Electric and Refrigeration Incentives – Page 2 Total Food Service – Electric and Refrigeration Incentives dteenergy.com/savenow 21 V1:11/01/15 IMPORTANT NOTE: Use the reference numbers in the left column to identify and mark all related invoices, specification sheets and other documents related to that measure and submitted with this Application. HVAC Gas Incentive Worksheet Check the Michigan-Made box only if the piece of equipment is for a full unit replacement and not a retrofit for which you are seeking an incentive, meets the Michigan-Made bonus specifications and you can provide the manufacturer affidavit. Boilers and Furnaces Ref # Equipment Size Output MBH Equipment Type HG–1 Boiler Modulating Burner Control Retrofit HG–2 Boiler Water Reset Control Retrofit HG–3 HG–4 High Efficiency Furnace/ Unit Heater HG–5 High Efficiency Boilers (Space Heating) HG–6 Leaking Steam Trap Repair or Replacement Incentive Unit $1,250.00 Boiler $0.50 Input MBH 95% Efficient $350.00 Furnace 92% Efficient $250.00 Furnace $1.00 Input MBH $100.00 Trap # of Units Total Incentive # of Units Total Incentive # of Units Total Incentive Other HVAC Ref # Equipment Type Incentive Unit HG–7 Infrared Heaters $4.00 Input MBH HG–8 Variable Frequency Drive on Secondary Chilled Water Pump $2.00 Pump HP HG–9 Destratification Fans (Reservation Application Required) $35.00 1,000 Sq. Ft. HG–10 Direct Fired Make-Up Air Units $1.00 Input MBH HG–11 Outside Air Ventilation Reduction (Reservation Application Required) $1.00 CFM Reduced Incentive Unit HVAC Gas HVAC Controls Ref # Equipment Type HG–12 Programmable Thermostat (Gas Heat) $50.00 Thermostat HG–13 Chilled Water Reset with Pump on/off Control ($0.005 per Sq. Ft.) $5.00 1,000 Sq. Ft. HG–14 Setback/Setup Controls (Gas Heat) $45.00 1,000 Sq. Ft. HG–15 Demand Controlled Ventilation CO2 Sensor-based ($0.012 per Sq. Ft.) $12.00 1,000 Sq. Ft. HG–16 HG–17 HVAC Occupancy Sensor, Large Office Building w/CV Chilled Water System $20.00 1,000 Sq. Ft. w/VAV Chilled Water System $10.00 1,000 Sq. Ft. HG–18 Hotel Guestroom Energy Management Control (Gas Heat) $35.00 Room HG–29 Web-enabled EMS (gas) $100.00 1,000 Sq. Ft. HG–20 Optimized Snow and Ice Melting Controls $0.10 Square Foot Reference numbers highlighted in orange denote measures that appear in both the Gas and Electric section of the Program, which means they may qualify for the Multi-Measure Bonus. To receive the bonus, submit both the Electric and Gas measure on the same Application. Select the HVAC system in operation at the project site (ask your contractor for assistance) AC with gas heat CV reheat no econ with Gas Engine Chiller PTAC-HP Air source heat pump CV reheat no econ with Water Cooled Chiller Refrigeration CV reheat econ with Air Cooled Chiller Gas heat only VAV reheat econ with Air Cooled Chiller CV reheat econ with Gas Engine Chiller Ground source heat pump VAV reheat econ with Gas Engine Chiller CV reheat econ with Water Cooled Chiller MZS no econ with Air Cooled Chiller VAV reheat econ with Water Cooled Chiller CV reheat no econ with Air Cooled Chiller PTAC Water loop heat pump Michigan-Made All Measures Total HVAC – Gas Incentives dteenergy.com/savenow 22 V1:11/01/15 IMPORTANT NOTE: Use the reference numbers in the left column to identify and mark all related invoices, specification sheets and other documents related to that measure and submitted with this Application. Hot Water & Laundry Incentive Worksheet Check the Michigan-Made box only if the piece of equipment is for a full unit replacement and not a retrofit for which you are seeking an incentive, meets the Michigan-Made bonus specifications and you can provide the manufacturer affidavit. Hot Water Ref # Equipment Type WG–1 High Efficiency Indirect Domestic Hot Water Heating System 90% Efficient WG–2 Mid Efficiency Indirect Domestic Hot Water Heating System 84% Efficient WG–3 Gas Tankless Water Heater WG–4 WG–5 WG–6 Incentive Unit $1.25 Input MBH $0.75 Input MBH $150.00 Heater High Efficiency Pool Heater (gas heat) $2.00 Input MBH Low-Flow Sink Aerators (≤ 1.0 GPM on a gas hot water system) $4.00 Aerator Low-Flow Showerheads $7.00 Showerhead Incentive Unit # of Units Total Incentive # of Units Total Incentive # of Units Total Incentive # of Units Total Incentive Gas Storage Water Heater (≤55 Gallons) Ref # Equipment Type WG–7 ≤ 75,000 Btu/hr, Mid-Efficiency (≥ 0.67 EF) $35.00 Heater WG–8 ≤ 75,000 Btu/hr, High-Efficiency (≥ 0.80 EF) $45.00 Heater Incentive Unit Gas Storage Water Heater (> 55 Gallons) Ref # Equipment Type WG–9 ≤ 75,000 Btu/hr, High-Efficiency (≥ 0.80 EF) $85.00 Heater $150.00 Heater Incentive Unit Gas Water Heat, Electric Dryer $25.00 Washer Gas Water Heat, Gas Dryer $50.00 Washer $40.00 lb. Wash Capacity WG–10 > 75,000 Btu/hr, High-Efficiency (≥ 0.94 Thermal Efficiency) Laundry Ref # WG–11 WG–12 Equipment Type High Efficiency Clothes Washer WG–13 Ozone Laundry Hot Water & Laundry Michigan-Made All Measures Total Hot Water & Laundry Incentives dteenergy.com/savenow 23 V1:11/01/15 IMPORTANT NOTE: Use the reference numbers in the left column to identify and mark all related invoices, specification sheets and other documents related to that measure and submitted with this Application. Insulation Incentive Worksheet Check the Michigan-Made box only if the piece of equipment is for a full unit replacement and not a retrofit for which you are seeking an incentive, meets the Michigan-Made bonus specifications and you can provide the manufacturer affidavit. Pipe Wrap Ref # Equipment Type Incentive Unit IG–1 Steam Boiler $5.00 Linear Foot IG–2 Steam Boiler Condensate Return $2.00 Linear Foot IG–3 Hot Water Boiler $3.00 Linear Foot IG–4 Domestic Hot Water $1.00 Linear Foot # of Units Total Incentive # of Units Total Incentive # of Units Total Incentive # of Units Total Incentive Greenhouse Ref # Equipment Type Incentive Unit IG–5 Greenhouse Heat Curtain $0.20 Square Foot IG–6 Greenhouse Infrared Film $0.10 Square Foot Incentive Unit Loading Dock Seals Ref # Equipment Type IG–7 Truck Loading Dock Seals (New Installation) (Reservation Application Required) $200.00 Door IG–8 Truck Loading Dock Seals (Replacement) $100.00 Door IG–9 Truck Loading Dock Leveler Ramp Air Pit Seals (New Installation) $100.00 Ramp Miscellaneous Gas Ref # Equipment Type IG–10 Flat Roof Insulation ($ 0.05 per Sq. Ft.) Incentive Unit $50.00 1,000 Sq. Ft. IG–11 Attic Roof Insulation ($ 0.06 per Sq. Ft.) $60.00 1,000 Sq. Ft. IG–12 Wall Insulation (Reservation Application Required) $450.00 1,000 Sq. Ft. IG–13 Pool Covers $0.50 Square Foot Insulation Process Gas Process Gas Incentive Worksheet Process Gas Ref # Equipment Type PG–14 Furnace Tube Inserts PG–15 PG–16 PG–17 PG–18 PG–19 PG–20 PG–21 High Efficiency Process Boiler Tank Insulation – 1” Tank Insulation – 2” Incentive Unit $30.00 Insert Water $1.00 Input MBH Steam $1.00 Input MBH Low Temp (120°F – 170°F) $5.00 Square Foot High Temp (> 170°F) $9.00 Square Foot Low Temp (120°F – 170°F) $6.00 Square Foot High Temp (> 170°F) $10.00 Square Foot $20.00 HP Air Compressor Exhaust Heat Recovery (Reservation Application Required) # of Units Total Incentive Michigan-Made All Measures Michigan-Made All Measures Total Insulation Incentives Total Process Gas Incentives dteenergy.com/savenow 24 V1:11/01/15 IMPORTANT NOTE: Use the reference numbers in the left column to identify and mark all related invoices, specification sheets and other documents related to that measure and submitted with this Application. Boiler/Furnace Tune-Up Incentive Worksheet Tune-up Checklist Site Name Date of Tune-up ManufacturerType (Hot Water Boiler, High/Low Pressure Steam Boiler, Furnace, RTU) Model Number Annual Hours of Operation Serial Number Unit Input Capacity (MBH) Company Performing Tune-up Technician Performing Tune-up Measure post combustion efficiency using electronic flue gas analyzer Check safety controls Adjust combustion air flow and air intake as needed, reduce excessive stack temperatures Check adequacy of combustion air intake Check for proper venting Adjust burner and gas input, manual or motorized draft controls Check Draft Control Dampers Clean burners, combustion chamber and heat exchanger surfaces Clean and inspect burner nozzles Complete visual inspection of system piping and installation Include a copy of the combustion analyzer post test (boilers only) To enter additional Boiler/Furnace Tune-up information, enter the quantity(ies) below, and then enter the information on the addendum, beginning on Page 32. Boiler Tune-Up Ref # Space Heating Boiler Tune-Up Incentive Unit HG–21 110 – 500 Input MBH $100.00 Boiler HG–22 501 – 1,200 Input MBH $200.00 Boiler HG–23 > 1,200 Input MBH $350.00 Boiler Ref # Process Boiler Tune-Up Incentive Unit HG–24 ≤ 3,000 Input MBH $350.00 Boiler HG–25 >3,000 – <6,000 Input MBH $1,000 Boiler HG–26 ≥6,000 – <10,000 Input MBH $1,500 Boiler HG–27 ≥10,000 Input MBH $2,000 Boiler Ref # Domestic Hot Water Tune-Up Incentive Unit HG–28 ≥ 199 Input MBH $75.00 Boiler Total Incentives # of Units Total Incentives # of Units Total Incentives # of Units Total Incentives Furnace/RTU Tune-Up Ref # Equipment Size Incentive Unit HG–29 40 – 300 Output MBH $50 Furnace/RTU HG–30 301 – 500 Output MBH $100 Furnace/RTU HG–31 > 500 Output MBH $150 Furnace/RTU All Measures Total Boiler/Furnace Tune-up Incentives dteenergy.com/savenow 25 V1:11/01/15 Boiler/Furnace Tune-Up # of Units IMPORTANT NOTE: Use the reference numbers in the left column to identify and mark all related invoices, specification sheets and other documents related to that measure and submitted with this Application. Food Service – Gas Incentive Worksheet Check the Michigan-Made box only if the piece of equipment is for a full unit replacement and not a retrofit for which you are seeking an incentive, meets the Michigan-Made bonus specifications and you can provide the manufacturer affidavit. Steam Cookers Ref # Equipment Type Incentive Unit FG–1 ENERGY STAR® Steam Cookers (5 Pan) $750.00 Cooker FG–2 ENERGY STAR® Steam Cookers (6 Pan) $900.00 Cooker Incentive Unit # of Units Total Incentive # of Units Total Incentive # of Units Total Incentive # of Units Total Incentive Ovens Ref # Equipment Type FG–3 ENERGY STAR® Convection Ovens $300.00 Oven FG–4 Combination Ovens $500.00 Oven FG–5 Rack Oven Single $400.00 Oven FG–6 Rack Oven Double $800.00 Oven Incentive Unit Fryers/Griddles Ref # Equipment Type FG–7 ENERGY STAR® Fryers $225.00 Fryer FG–8 Large Vat Fryer $300.00 Fryer FG–9 ENERGY STAR® Griddles $100.00 Griddle Miscellaneous Ref # Equipment Type Incentive Unit FG–10 Pre-Rinse Sprayers (Gas Water Heat) $30.00 Sprayer FG–11 Night Covers (Vertical)* $0.75 Linear Foot x Hrs/Day FG–12 Refrigeration Condenser Waste Heat Recovery Domestic Water Heating $35.00 Ton Space Heating $75.00 Ton Reach-in Refrigerated Display Case Door Retrofit Medium Temp $20.00 Linear Foot Low Temp $25.00 Linear Foot FG–13 FG–14 FG–15 Ft. Hrs. * To calculate night cover incentive, multiply incentive x linear ft x hrs that night cover is used per day. May also be eligible for electric incentives for DTE Energy electric customers. Controls Equipment Type FG–16 Commercial Kitchen Ventilation Hood with Demand Control Incentive Unit $0.25 CFM Reduced # of Units Total Incentive Food Service – Gas Ref # Michigan-Made All Measures Total Food Service – Gas Incentives dteenergy.com/savenow 26 V1:11/01/15 IMPORTANT NOTE: Use the reference numbers in the left column to identify and mark all related invoices, specification sheets and other documents related to that measure and submitted with this Application. Custom Measures Worksheet Instructions – Reservation Application Required Use this information to help you complete your Custom Incentive Worksheet on the following page(s). 1. For each individual type of equipment, use a separate “Item” box. For example: Do not combine different types of lighting under one item. 2. If you have a lighting project: Before you begin the Custom portion of your Application, use our “Prescriptive or Custom?” worksheet (Page 28) to determine whether your project qualifies for a custom Application or should be submitted as a Prescriptive measure. Also, contact us if you have questions about how to calculate your “Before” and After” retrofit operating hours; or how to calculate your gas savings, which must be entered manually on the custom page (in the electronic version, the Application will calculate electric savings). 3. Under Before Retrofit and After Retrofit: Be as specific as possible with your description and quantities. This includes, but is not limited to: quantity, name, manufacturer, model number, size (ex: hp or kW or Btu/hr) for the existing and new equipment, as well as any other information that can help calculate the energy used by the equipment. Write the “Reference Number” for each item on all specification sheets and invoices related to that specific item and attach to your Final Application. 4. Under “Hours of Operation” for both “Before” and “After” retrofit, provide a documented method for arriving at these figures. Submit your method of calculation with this Application. 5. Insert the KW for the equipment for both “Before” and “After” retrofit. 6. Under Your Current Energy Cost ($ per Sum of 12 consecutive monthly utility bills for electricity ($) Your Current unit), enter your average costs for the energy = Electricity Costs Sum of electricity used during the same 12 consecutive months as above (kWh) source – electricity, natural gas or both – that your measure will be saving. To determine your Your Current Sum of 12 consecutive monthly utility bills for natural gas ($) current annual cost for each energy source, use Natural Gas = Sum of natural gas used during the same 12 consecutive months as above (Ccf) X 1 Mcf/10 Ccf the formulae at right: NOTE: Your natural gas Costs bill is calculated in units of Ccf and must be converted to Mcf. The conversion formula is 10 Ccf = 1 Mcf and has been incorporated into the above equation for you. 7. Next, separately calculate your Annual Electric Savings by using the following process. If you are using the electronic version, this will be calculated for you): a) Enter the “Before” hours b) Enter the “Before” KW c) Multiply A x B d) do the same for “After” e) Subtract the new from the old. This is the Annual Electric Savings to be entered on the form. For complex projects, provide a separate analysis showing how you determined the energy savings or contact us for assistance. 8. Next, separately calculate your Annual Natural Gas Savings by Mcf (if applicable). Methods for calculating natural gas savings may vary. If possible, use the following process: a) Show the Mcf used by the existing piece of equipment by providing 12 months of natural gas bills, metered data or a calculation, then: b) Provide a calculation of the expected Mcf of the new equipment, then: c) Subtract the new from the old. This is the Annual Natural Gas Savings to be entered on the form. 9. If you’re using the interactive version of this Application, the Calculated Incentive will be entered for you. If you are using a paper version, determine your Calculated Incentive for each measure by multiplying the Annual Electric Savings by $0.07/kWh and the Annual Natural Gas Savings by $4.00/Mcf. 10. Next, enter the Measure Cost. This is the cost of implementing a measure less any costs incurred to achieve non-energy related project benefits. Only costs associated with the rebated energy savings measure should be included in the Measure Cost (this cannot include internal labor cost), which is the basis for determining the simple payback period for custom measures, and is defined as either: a) For end-of-life equipment replacement measures: the cost difference between equipment meeting Program efficiency criteria and equipment meeting the minimum efficiency allowable by code or industry standard; or b) For retrofit, early replacement and new technology measures: the cost of new equipment, components or materials added to existing equipment for the purpose of improving its energy efficiency. 11. If you’re using the interactive version of this Application, the Simple Payback Period for each fuel type will be entered for you. If you are using a paper version, use the formulae shown on the worksheet pages to determine the payback by fuel type. Simple Payback Period = Aggregate Measure Cost (Annual kWh Saved x Electricity Cost) + (Annual Mcf Saved x Natural Gas Cost) 13. Total Awarded Incentives are calculated at no more than 50% of the respective Measure Costs for electric and gas items. IMPORTANT: Check the appropriate Category box (Lighting, HVAC-Gas, Process-Electric, etc.) for each item you list on the Custom worksheet(s). dteenergy.com/savenow 27 V1:11/01/15 Custom 12. If you’re using the interactive version of this Application, the Total Calculated Incentives at the bottom of the form will be entered for you. If you’re using the paper version, first total the Measure Cost for all measures and enter that value in Aggregate Measures Cost. Then total all the individual measure Calculated Incentives and enter that in Total Calculated Incentives. IMPORTANT NOTE: Use the reference numbers in the left column to identify and mark all related invoices, specification sheets and other documents related to that measure and submitted with this Application. Prescriptive or Custom Incentive Worksheet Prescriptive or Custom? Where does your lighting project fall? Does your lighting project call for a Custom calculation — or does it fall within our Prescriptive measures? To answer that question, follow these instructions: Step 1: Do the type of fixtures in your project match a Prescriptive measure in our Application? No: Submit it as a Custom measure Yes: Continue to Step 2. Step 2: a. Enter your fixture “Before Retrofit” quantity (the existing condition) in the box below. b. Enter your fixture “After Retrofit” quantity (the new condition) in the box below. c. Follow the instructions in the orange box. Enter “Before Retrofit” fixture quantity: Enter “After Retrofit” fixture quantity: Custom Follow these instructions: dteenergy.com/savenow 28 V1:11/01/15 IMPORTANT NOTE: Use the reference numbers in the left column to identify and mark all related invoices, specification sheets and other documents related to that measure and submitted with this Application. IMPORTANT: If you fail to complete each section, check the appropriate category or enter all required information, the worksheet will not calculate your incentive and carry the value to Page 6. Custom Incentive Worksheet Reservation Application must be submitted BEFORE project begins See Instructions on Page 27. Complete every blank box for each item you submit. Please attach all equipment specifications to your Reservation Application before you submit for review. Ref# CU–1 Location (department, area, etc.) ______________________________ Description Elec.Category Gas Before Retrofit After Retrofit “Before” hours of operation calculation for this specific equipment Hours/week Non-work days/year Weeks/year Hours used per year (a) “After” hours of operation calculation for this specific equipment Hours/week kW (b) Annual Savings* (Units/Year) (A) Will the “After Retrofit” specific piece of equipment listed here be in operation during the hours of 3–6 p.m. on Monday–Thursday in the month of July? Yes No Non-work days/year Weeks/year Hours used per year (c) Current Energy Cost ($ per Unit) Lighting HVAC Miscellaneous Process Food Service Hot Water/Laundry Insulation kW (d) Incentive Rate ($ per Unit) (B) Calculated Incentive (A x B) Service Unit Electric kWh $0.07 Measure Cost Capped Measure Incentive Natural Gas Mcf $4.00 (from Total Awarded Incentive below) * For Electric projects use the following formula: (a x b) – (c x d). For natural gas projects, you must enter your own calculated Annual Savings and provide documentation. Ref# CU–2 Location (department, area, etc.) ______________________________ Description Elec.Category Gas Before Retrofit After Retrofit “Before” hours of operation calculation for this specific equipment Hours/week Non-work days/year Weeks/year Hours used per year (a) “After” hours of operation calculation for this specific equipment Hours/week kW (b) Annual Savings* (Units/Year) (A) Will the “After Retrofit” specific piece of equipment listed here be in operation during the hours of 3–6 p.m. on Monday–Thursday in the month of July? Yes No Non-work days/year Weeks/year Hours used per year (c) Current Energy Cost ($ per Unit) Lighting HVAC Miscellaneous Process Food Service Hot Water/Laundry Insulation kW (d) Incentive Rate ($ per Unit) (B) Calculated Incentive (A x B) Service Unit Measure Cost Electric kWh $0.07 Capped Measure Incentive Natural Gas Mcf $4.00 (from Total Awarded Incentive below) * For Electric projects use the following formula: (a x b) – (c x d). For natural gas projects, you must enter your own calculated Annual Savings and provide documentation. Electric Simple Payback Period = must be ≥1 to ≤8 years Electric Aggregate Measure Cost Aggregate Annual kWh Saved x Current Energy Cost Aggregate Measure Cost Total Custom Incentives (Includes values entered on pages 29-31) Gas Simple Payback Period must be ≥1 year Aggregate Annual Savings Gas Aggregate Measure Cost Aggregate Annual Mcf Saved x Current Energy Cost Current Energy Cost Simple Payback Period* Total Calculated Incentive Total Awarded Incentive** Electric Natural Gas Total Measure Cost Total Custom Incentive If you require assistance completing this section, contact our office. 29 V1:11/01/15 Custom ** T otal Awarded Incentives for each utility are capped at no more than 50% of the Total Measure Cost. If one utility does not qualify for an incentive, the other utility is capped at no more than 50% of the Aggregate Measure Cost for that utility IMPORTANT NOTES: * The Simple Payback Period must fall within the electric or gas parameters to qualify for an incentive (see formulae above) If the Total Awarded Incentive for either electric or gas displays DNQ (does not qualify), then the payback period fell outside of required parameters or the measure cost(s) or energy savings were missing. dteenergy.com/savenow = IMPORTANT NOTE: Use the reference numbers in the left column to identify and mark all related invoices, specification sheets and other documents related to that measure and submitted with this Application. IMPORTANT: If you fail to complete each section, check the appropriate category or enter all required information, the worksheet will not calculate your incentive and carry the value to Page 6. Custom Incentive Worksheet Reservation Application must be submitted BEFORE project begins See Instructions on Page 27. Complete every blank box for each item you submit. Please attach all equipment specifications to your Reservation Application before you submit for review. Ref# CU–3 Location (department, area, etc.) ______________________________ Description Elec.Category Gas Before Retrofit After Retrofit “Before” hours of operation calculation for this specific equipment Hours/week Non-work days/year Weeks/year Hours used per year (a) “After” hours of operation calculation for this specific equipment Hours/week kW (b) Annual Savings* (Units/Year) (A) Will the “After Retrofit” specific piece of equipment listed here be in operation during the hours of 3–6 p.m. on Monday–Thursday in the month of July? Yes No Non-work days/year Weeks/year Hours used per year (c) Current Energy Cost ($ per Unit) Lighting HVAC Miscellaneous Process Food Service Hot Water/Laundry Insulation kW (d) Incentive Rate ($ per Unit) (B) Calculated Incentive (A x B) Service Unit Measure Cost Electric kWh $0.07 Capped Measure Incentive Natural Gas Mcf $4.00 (from Total Awarded Incentive below) * For Electric projects use the following formula: (a x b) – (c x d). For natural gas projects, you must enter your own calculated Annual Savings and provide documentation. Ref# CU–4 Location (department, area, etc.) ______________________________ Description Elec.Category Gas Before Retrofit After Retrofit “Before” hours of operation calculation for this specific equipment Hours/week Non-work days/year Weeks/year Hours used per year (a) “After” hours of operation calculation for this specific equipment Hours/week kW (b) Annual Savings* (Units/Year) (A) Will the “After Retrofit” specific piece of equipment listed here be in operation during the hours of 3–6 p.m. on Monday–Thursday in the month of July? Yes No Non-work days/year Weeks/year Hours used per year (c) Current Energy Cost ($ per Unit) Lighting HVAC Miscellaneous Process Food Service Hot Water/Laundry Insulation kW (d) Incentive Rate ($ per Unit) (B) Calculated Incentive (A x B) Service Unit Electric kWh $0.07 Measure Cost Capped Measure Incentive Natural Gas Mcf $4.00 (from Total Awarded Incentive below) * For Electric projects use the following formula: (a x b) – (c x d). For natural gas projects, you must enter your own calculated Annual Savings and provide documentation. Electric Simple Payback Period = must be ≥1 to ≤8 years Aggregate Annual kWh Saved x Current Energy Cost Gas Simple Payback Period must be ≥1 year Aggregate Measure Cost Aggregate Annual Savings Electric Aggregate Measure Cost Total Custom Incentives (Includes values entered on pages 29-31) Custom Gas Aggregate Measure Cost Aggregate Annual Mcf Saved x Current Energy Cost Current Energy Cost Simple Payback Period* Total Calculated Incentive Total Awarded Incentive** Electric Natural Gas Total Measure Cost Total Custom Incentive ** Total Awarded Incentives for each utility are capped at no more than 50% of the Total Measure Cost. If one utility does not qualify for an incentive, the other utility is capped at no more than 50% of the Aggregate Measure Cost for that utility IMPORTANT NOTES: * The Simple Payback Period must fall within the electric or gas parameters to qualify for an incentive (see formulae above) If the Total Awarded Incentive for either electric or gas displays DNQ (does not qualify), then the payback period fell outside of required parameters or the measure cost(s) or energy savings were missing. dteenergy.com/savenow = If you require assistance completing this section, contact our office. 30 V1:11/01/15 IMPORTANT NOTE: Use the reference numbers in the left column to identify and mark all related invoices, specification sheets and other documents related to that measure and submitted with this Application. IMPORTANT: If you fail to complete each section, check the appropriate category or enter all required information, the worksheet will not calculate your incentive and carry the value to Page 6. Custom Incentive Worksheet Reservation Application must be submitted BEFORE project begins See Instructions on Page 27. Complete every blank box for each item you submit. Please attach all equipment specifications to your Reservation Application before you submit for review. Ref# CU–5 Location (department, area, etc.) ______________________________ Description Elec.Category Gas Before Retrofit After Retrofit “Before” hours of operation calculation for this specific equipment Hours/week Non-work days/year Weeks/year Hours used per year (a) “After” hours of operation calculation for this specific equipment Hours/week kW (b) Annual Savings* (Units/Year) (A) Will the “After Retrofit” specific piece of equipment listed here be in operation during the hours of 3–6 p.m. on Monday–Thursday in the month of July? Yes No Non-work days/year Weeks/year Hours used per year (c) Current Energy Cost ($ per Unit) Lighting HVAC Miscellaneous Process Food Service Hot Water/Laundry Insulation kW (d) Incentive Rate ($ per Unit) (B) Calculated Incentive (A x B) Service Unit Measure Cost Electric kWh $0.07 Capped Measure Incentive Natural Gas Mcf $4.00 (from Total Awarded Incentive below) * For Electric projects use the following formula: (a x b) – (c x d). For natural gas projects, you must enter your own calculated Annual Savings and provide documentation. Ref# CU–6 Location (department, area, etc.) ______________________________ Description Elec.Category Gas Before Retrofit After Retrofit “Before” hours of operation calculation for this specific equipment Hours/week Non-work days/year Weeks/year Hours used per year (a) “After” hours of operation calculation for this specific equipment Hours/week kW (b) Annual Savings* (Units/Year) (A) Will the “After Retrofit” specific piece of equipment listed here be in operation during the hours of 3–6 p.m. on Monday–Thursday in the month of July? Yes No Non-work days/year Weeks/year Hours used per year (c) Current Energy Cost ($ per Unit) Lighting HVAC Miscellaneous Process Food Service Hot Water/Laundry Insulation kW (d) Incentive Rate ($ per Unit) (B) Calculated Incentive (A x B) Service Unit Electric kWh $0.07 Measure Cost Capped Measure Incentive Natural Gas Mcf $4.00 (from Total Awarded Incentive below) * For Electric projects use the following formula: (a x b) – (c x d). For natural gas projects, you must enter your own calculated Annual Savings and provide documentation. Electric Simple Payback Period = must be ≥1 to ≤8 years Electric Aggregate Measure Cost Aggregate Annual kWh Saved x Current Energy Cost Aggregate Measure Cost Total Custom Incentives (Includes values entered on pages 29-31) Gas Simple Payback Period must be ≥1 year Aggregate Annual Savings Gas Aggregate Measure Cost Aggregate Annual Mcf Saved x Current Energy Cost Current Energy Cost Simple Payback Period* Total Calculated Incentive Total Awarded Incentive** Electric Natural Gas Total Measure Cost Total Custom Incentive If you require assistance completing this section, contact our office. 31 V1:11/01/15 Custom ** T otal Awarded Incentives for each utility are capped at no more than 50% of the Total Measure Cost. If one utility does not qualify for an incentive, the other utility is capped at no more than 50% of the Aggregate Measure Cost for that utility IMPORTANT NOTES: * The Simple Payback Period must fall within the electric or gas parameters to qualify for an incentive (see formulae above) If the Total Awarded Incentive for either electric or gas displays DNQ (does not qualify), then the payback period fell outside of required parameters or the measure cost(s) or energy savings were missing. dteenergy.com/savenow = Boiler/Furnace Tune-Up Incentive Addendum Tune-up Checklist – Furnace/Boiler #1 Site Name Date of Tune-up ManufacturerType (Hot Water Boiler, High/Low Pressure Steam Boiler, Furnace, RTU) Model Number Annual Hours of Operation Serial Number Unit Input Capacity (MBH) Company Performing Tune-up Technician Performing Tune-up Measure pre/post combustion efficiency using electronic flue gas analyzer Check safety controls Adjust combustion air flow and air intake as needed, reduce excessive stack temperatures Check adequacy of combustion air intake Check for proper venting Adjust burner and gas input, manual or motorized draft controls Check Draft Control Dampers Clean burners, combustion chamber and heat exchanger surfaces Clean and inspect burner nozzles Complete visual inspection of system piping and installation Include a copy of the combustion analyzer test (boilers only) Tune-up Checklist – Furnace/Boiler #2 Site Name Date of Tune-up ManufacturerType (Hot Water Boiler, High/Low Pressure Steam Boiler, Furnace, RTU) Model Number Annual Hours of Operation Serial Number Unit Input Capacity (MBH) Company Performing Tune-up Technician Performing Tune-up Measure pre/post combustion efficiency using electronic flue gas analyzer Check safety controls Adjust combustion air flow and air intake as needed, reduce excessive stack temperatures Check adequacy of combustion air intake Adjust burner and gas input, manual or motorized draft controls Check for proper venting Check Draft Control Dampers Clean burners, combustion chamber and heat exchanger surfaces Clean and inspect burner nozzles Complete visual inspection of system piping and installation Boiler/Furnace Tune-Up Include a copy of the combustion analyzer test (boilers only) Use this addendum for any additional boiler/furnace tune-ups you perform at the same site. Use additional copies as needed. On Page 25 you must enter the total number of boilers/furnaces by type and size (at the same site) so the total incentives can be correctly calculated and entered. dteenergy.com/savenow 32 V1:11/01/15 Boiler/Furnace Tune-Up Incentive Addendum Tune-up Checklist – Furnace/Boiler #3 Site Name Date of Tune-up ManufacturerType (Hot Water Boiler, High/Low Pressure Steam Boiler, Furnace, RTU) Model Number Annual Hours of Operation Serial Number Unit Input Capacity (MBH) Company Performing Tune-up Technician Performing Tune-up Measure pre/post combustion efficiency using electronic flue gas analyzer Check safety controls Adjust combustion air flow and air intake as needed, reduce excessive stack temperatures Check adequacy of combustion air intake Check for proper venting Adjust burner and gas input, manual or motorized draft controls Check Draft Control Dampers Clean burners, combustion chamber and heat exchanger surfaces Clean and inspect burner nozzles Complete visual inspection of system piping and installation Include a copy of the combustion analyzer test (boilers only) Tune-up Checklist – Furnace/Boiler #4 Site Name Date of Tune-up ManufacturerType (Hot Water Boiler, High/Low Pressure Steam Boiler, Furnace, RTU) Model Number Annual Hours of Operation Serial Number Unit Input Capacity (MBH) Company Performing Tune-up Technician Performing Tune-up Measure pre/post combustion efficiency using electronic flue gas analyzer Check safety controls Adjust combustion air flow and air intake as needed, reduce excessive stack temperatures Check adequacy of combustion air intake Adjust burner and gas input, manual or motorized draft controls Check for proper venting Check Draft Control Dampers Clean burners, combustion chamber and heat exchanger surfaces Clean and inspect burner nozzles Complete visual inspection of system piping and installation Include a copy of the combustion analyzer test (boilers only) Boiler/Furnace Tune-Up Use this addendum for any additional boiler/furnace tune-ups you perform at the same site. Use additional copies as needed. On Page 25 you must enter the total number of boilers/furnaces by type and size (at the same site) so the total incentives can be correctly calculated and entered. dteenergy.com/savenow 33 V1:11/01/15 Boiler/Furnace Tune-Up Incentive Addendum Tune-up Checklist – Furnace/Boiler #5 Site Name Date of Tune-up ManufacturerType (Hot Water Boiler, High/Low Pressure Steam Boiler, Furnace, RTU) Model Number Annual Hours of Operation Serial Number Unit Input Capacity (MBH) Company Performing Tune-up Technician Performing Tune-up Measure pre/post combustion efficiency using electronic flue gas analyzer Check safety controls Adjust combustion air flow and air intake as needed, reduce excessive stack temperatures Check adequacy of combustion air intake Check for proper venting Adjust burner and gas input, manual or motorized draft controls Check Draft Control Dampers Clean burners, combustion chamber and heat exchanger surfaces Clean and inspect burner nozzles Complete visual inspection of system piping and installation Include a copy of the combustion analyzer test (boilers only) Tune-up Checklist – Furnace/Boiler #6 Site Name Date of Tune-up ManufacturerType (Hot Water Boiler, High/Low Pressure Steam Boiler, Furnace, RTU) Model Number Annual Hours of Operation Serial Number Unit Input Capacity (MBH) Company Performing Tune-up Technician Performing Tune-up Measure pre/post combustion efficiency using electronic flue gas analyzer Check safety controls Adjust combustion air flow and air intake as needed, reduce excessive stack temperatures Check adequacy of combustion air intake Adjust burner and gas input, manual or motorized draft controls Check for proper venting Check Draft Control Dampers Clean burners, combustion chamber and heat exchanger surfaces Clean and inspect burner nozzles Complete visual inspection of system piping and installation Boiler/Furnace Tune-Up Include a copy of the combustion analyzer test (boilers only) Use this addendum for any additional boiler/furnace tune-ups you perform at the same site. Use additional copies as needed. On Page 25 you must enter the total number of boilers/furnaces by type and size (at the same site) so the total incentives can be correctly calculated and entered. dteenergy.com/savenow 34 V1:11/01/15 Boiler/Furnace Tune-Up Incentive Addendum Tune-up Checklist – Furnace/Boiler #7 Site Name Date of Tune-up ManufacturerType (Hot Water Boiler, High/Low Pressure Steam Boiler, Furnace, RTU) Model Number Annual Hours of Operation Serial Number Unit Input Capacity (MBH) Company Performing Tune-up Technician Performing Tune-up Measure pre/post combustion efficiency using electronic flue gas analyzer Check safety controls Adjust combustion air flow and air intake as needed, reduce excessive stack temperatures Check adequacy of combustion air intake Check for proper venting Adjust burner and gas input, manual or motorized draft controls Check Draft Control Dampers Clean burners, combustion chamber and heat exchanger surfaces Clean and inspect burner nozzles Complete visual inspection of system piping and installation Include a copy of the combustion analyzer test (boilers only) Tune-up Checklist – Furnace/Boiler #8 Site Name Date of Tune-up ManufacturerType (Hot Water Boiler, High/Low Pressure Steam Boiler, Furnace, RTU) Model Number Annual Hours of Operation Serial Number Unit Input Capacity (MBH) Company Performing Tune-up Technician Performing Tune-up Measure pre/post combustion efficiency using electronic flue gas analyzer Check safety controls Adjust combustion air flow and air intake as needed, reduce excessive stack temperatures Check adequacy of combustion air intake Adjust burner and gas input, manual or motorized draft controls Check for proper venting Check Draft Control Dampers Clean burners, combustion chamber and heat exchanger surfaces Clean and inspect burner nozzles Complete visual inspection of system piping and installation Include a copy of the combustion analyzer test (boilers only) Boiler/Furnace Tune-Up Use this addendum for any additional boiler/furnace tune-ups you perform at the same site. Use additional copies as needed. On Page 25 you must enter the total number of boilers/furnaces by type and size (at the same site) so the total incentives can be correctly calculated and entered. dteenergy.com/savenow 35 V1:11/01/15 Submission Checklist To submit your Reservation Application* 1. Complete the Application (Pages 2-4). a. Ensure that you have completed the Reservation Application checklist (Page 2). b. Ensure that you have completed the Customer information (Page 3). c. Ensure that you have completed the Contractor and, if applicable, Third Party Payment information (Page 4). 2. Complete all relevant worksheets for your project. Total Incentives Requested BEFORE YOU SUBMIT: If the figure at right does not match the incentives you expected to request, please review your worksheets and the summary page (Page 6). 3. Submit your Reservation Application electronically by clicking here or Fax to: 313.664.1950 or Print and mail to: DTE Energy Efficiency Program for Business P.O. Box 11289 Detroit, MI 48211 SUBMIT * A Reservation Application may not be required for your project, but is strongly encouraged to set aside funds. Submission of a Reservation Application does not guarantee that funds will be available. To submit your FINAL Application 1. Complete or confirm all information on Pages 2-4. 2. Complete and have account holder sign Final Application Agreement (Page 6) 3. Complete or confirm all relevant worksheets for your project. BEFORE YOU SUBMIT: If the figure at right does not match the Total Incentives Requested incentives you expected to request, please review your worksheets and the summary page (Page 6). 3. Submit your Final Application electronically by clicking here or Fax to: 313.664.1950 or Print and mail to: DTE Energy Efficiency Program for Business P.O. Box 11289 Detroit, MI 48211 SUBMIT There are values entered on a Custom Item without a Category selected. You MUST select a Category to receive an incentive Mail, fax or email all manufacturers’ specifications, detailed invoices and other supporting documents to our office. In your mailing, on your cover sheet or in your subject line, please include the customer name and project number: DTE-(year)(5-digit number). If you don’t have a project number, make sure you enter your customer name. dteenergy.com/savenow 36 V1:11/01/15